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At least $9B billed across 14 Medicaid services in Minnesota may be fraudulent, top prosecutor says
A top prosecutor suggested on Thursday that the total amount of fraud in Minnesota could be $9 billion or more.
Providers in 14 “high-risk,” state-run Medicaid programs being audited by the state have billed $18 billion since 2018, with ...
Some Medicare enrollees may soon be able to access super-popular drugs for obesity under a voluntary model program, the ...
A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.
CMS’ new ACCESS model, slated to begin on July 1, aims to shift traditional Medicare fee-for-service toward value-based care ...
A new Department of Health and Human Services report reveals Medicaid programs made over $200 million in improper payments to ...
The Centers for Medicare & Medicaid Services (CMS) is proposing a groundbreaking drug payment model to address the ...
The Trump administration has revealed what comes next when the ACO REACH model concludes at the end of 2026. | The Trump ...
Crystal Clinic Orthopaedic Center, a physician-owned hospital system, has received a five-star quality rating, the highest ...
The Centers for Medicare & Medicaid Services released a memo Dec. 16 announcing the agency’s intent to conduct a voluntary pilot in 2026, called the Service Level Data Collection for Initial ...
The Centers for Medicare & Medicaid Services has allocated 400 Medicare-funded residency slots to 169 teaching hospitals.
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